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General NPI Number Information
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NPI Number | 1265696348
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Entity Type | Individual
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Provider Name | SUNANDANA CHANDRA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 645 N. MICHIGAN AVENUE SUITE 1006
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 517-896-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 645 N. MICHIGAN AVENUE, SUITE 1006 NORTHWESTERN MEDICINE DEVELOPMENTAL THERAPEUTICS INST
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 517-896-3576
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 262115
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License Number State | NY
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